人工全髋关节置换术后伤口有效引流方法的研究.pdfVIP

解放军护理杂志 JuNE 2008 25(6A) ， Nurs J Ch ，!PLA 人工全髋关节置换术后伤口有效引流方法的研究 杨志英，戴静静，阮 洪 (上海交通大学医学院附属第九人民医院 骨科，上海2OOO11) 摘要：目的 探究人工全髋关节置换术后伤口有效的引流方法，以提高手术的疗效。方法 将8O例人工全髋关 节置换术患者术后随机分成自然引流组、夹管2 h组、间断夹管组和常规负压引流组等4组，对术后伤口引流量、有 无伤口感染或异常渗出、血红蛋白值变化、术后输血量等进行观察，并作统计学分析比较。结果 各组引流方法对 血红蛋白值变化和输血量无明显影响，但间断夹管组在有效引流的同时引流量最少，且该组中需输血的患者数明显 少于其他各组。结论 人工全髋关节置换术后伤口采用间断夹管法引流可减少失血量和需输血概率，且不增加 感染率，是一种较为理想、值得推广的伤口引流方法。 关键词：全髋关节置换术；引流；出血 中图分类号：R473．6 文献标志码：A 文章编号：1008—9993(2008)6A一0011—02 Study on Effective Means of Drainage after Total Hip Arthroplasty YANG Zhi～ying，DAI Jing—jing，RUAN Hong(Department of Orthopedics，The Ninth People’S Hospital of Shanghai，Shanghai Jiaotong University School of Medicine，Shanghai 20001 1，China) Abstract：Objective To explore 3n effective means of drainage after total hip arthroplasty (THA)，SO 38 to improve the effectiveness of THA．Methods Eighty patients were randomly di～ vided into 4 groups after THA：the natura1 drainage group，2 h clipping tube group，intermittent～ ly clipping tube group，and the routine negative pressure drainage group．The drainage volume of the wound，development of infection，abnormal exudation，the change of Hb and the blood trans～ fusion volume after operation were all observed．Then statistical analysis W3S used to make 3 com～ parison．Results No obvious differences were found in the changes of Hb and the volume of blood transfusion among different groups．However，the intermittently clipping tube group drained effective～ ly and had the least drainage volume；moreover，less patient in this group needed blood transfu～ sion．Conclusion After THA，intermittent clipping the tube can decrease the volume of blood 1OSS and incidence of transfusion，and can not increase the infection rate，making it an ideal drainage meth